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General NPI Number Information
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NPI Number | 1437339462
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Entity Type | Organization
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Legal Business Name | CLINICA DE GASTROENTEROLOGIA DR. RAFAEL PEREZ BARTOLOMEI CSP
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Dates
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Enumeration Date | 11/07/2007
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Last Update Date | 09/25/2013
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Provider Practice Location Address
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Address Line | B40 CALLE ELLIOT VELEZ URB ATENAS
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City | MANATI
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State | PR
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Zip | 00674-4615
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Country | US
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Telephone | 787-884-4872
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Fax | 787-884-4873
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Provider Business Mailing Address
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Address Line | B40 CALLE ELLIOT VELEZ URB ATENAS
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City | MANATI
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State | PR
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Zip | 00674-4615
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Country | US
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Telephone | 787-884-4872
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Fax | 787-884-4873
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RAFAEL A PEREZ-BARTOLOMEI
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Credential | MD
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Telephone | 787-884-4872
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 14750
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License Number State | PR
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